MR. STANLEY B FULLER SR. (NPI# 1639344344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639344344 |
| Entity Type | Individual |
| Full Name | MR. STANLEY B FULLER SR. |
| Other Name | MR. STANLEY B FULLER SR. |
| Credential | L.P.N. |
| Practice Address |
117 N Wayne St 117 N Wayne St Fremont OH 43420-2431 |
| Practice Telephone | 4193072984 |
| Mailing Telephone | 4193072984 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN.102037 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437119302 | Stanley B. Fuller | Surgery | 2825 Lyndhurst Ave, Ste 101, Winston Salem, NC 27103-4146 | 2006-03-24 |
| 1639653520 | Stanley Fuller | Marriage & Family Therapist | 170 9th St, San Francisco, CA 94103-2603 | 2018-09-18 |
| 1396034658 | Stanley R Fuller | Ophthalmology | 116 Minnie St, Fairbanks, AK 99701-3006 | 2011-04-06 |
| Street Address |
117 N WAYNE ST 117 N WAYNE ST |
| City | FREMONT |
| State | OH |
| Zip Code | 43420-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073795423 | Stanley Fuller | Custodial Care Facility | 117 N Wayne St, Fremont, OH 43420-2431 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225596570 | Trisha D Hamm | Nurse Practitioner | Walk In Urgent Care, 2180 Sean Dr., #6b, Fremont, OH 43420 | 2019-03-06 |
| 1558886051 | Kortney Blair Potridge | Homemaker | 1718 Buckland Avenue, Fremont, OH 43420 | 2017-08-07 |
| 1699134015 | Gentle Caring Dentistry of Fremont Ohio | Dentist | 2430 Enterprise St, Fremont, OH 43420 | 2016-02-12 |
| 1033574587 | Alyssa Dickman | Physical Therapy Assistant | 1310 Chestnut St, Fremont, OH 43420 | 2015-12-29 |
| 1437566734 | Michael Allen Koebel | Registered Nurse | 1728 Oak Harbor Rd, Fremont, OH 43420 | 2014-07-18 |
| 1598183774 | Harry D. Burger | Dentist | 567 Bartson Rd., Fremont, OH 43420 | 2014-04-03 |
| 1750706636 | Lori Fisher | Registered Nurse | 500 W. State St., Suite A, Fremont, OH 43420 | 2014-02-28 |
| 1699113001 | Cora Renea Minich | Massage Therapist | 510 Court Street, Fremont, OH 43420 | 2013-06-07 |
| 1477850071 | Parschauer Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 126 S. Front St, Fremont, OH 43420 | 2011-02-16 |
| 1316260839 | Marla D Carlisle | Physician Assistant | 605 Third Avenue, Suite B, Fremont, OH 43420 | 2010-03-11 |
| Find all providers in zip 43420 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548726896 | Tammy Kay Bernt | Licensed Practical Nurse | 1750 N Lincoln Ave, Fremont, NE 68025-3206 | 2019-02-12 |
| 1619392859 | Colleen A Hankins | Licensed Practical Nurse | 1100 North St, Fremont, OH 43420-1132 | 2014-02-25 |
| 1942549076 | Jennifer Lagrou | Licensed Practical Nurse | 1221 Clinton St, Fremont, OH 43420-1800 | 2013-02-08 |
| 1144525346 | Christina Jones | Licensed Practical Nurse | 1300 W State St, Fremont, OH 43420-2017 | 2011-01-19 |
| 1326349242 | Jenny Coley | Licensed Practical Nurse | 2334 County Road 65, Fremont, OH 43420-9762 | 2010-11-09 |
| 1174843445 | Tammy Lynn Flores | Licensed Practical Nurse | 414 Croghan St Apt A, Fremont, OH 43420-2486 | 2010-06-09 |
| 1649509654 | Laura Miranda Clarke | Licensed Practical Nurse | 2901 County Road 59, Fremont, OH 43420-9757 | 2009-12-22 |
| 1740515139 | Rega Gausi | Licensed Practical Nurse | 36119 Adobe Drive, Fremont, CA 94536 | 2009-10-02 |
| 1477714228 | Tracy Holland | Licensed Practical Nurse | 1335 Mosser Dr Apt 408, Fremont, OH 43420-3289 | 2008-06-24 |
| 1942469473 | Maya Sharia Peacock | Licensed Practical Nurse | 915 Stilwell Ave, Fremont, OH 43420-2022 | 2008-06-09 |
| Find all providers in FREMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.